Mu nambala yambiri ya masamba a vegetative-vascular dystonia (AVD), zizindikiro za akuluakulu zimagwirizanitsidwa ndi ntchito yodabwitsa ya kayendedwe kabwino ka mitsempha (ANS). Zizindikiro zosautsa ndi zoopsa za matendawa zimayambitsidwa ndi madera achifundo komanso okhudzidwa ndi VNS.
Kodi VSD ndi chiyani?
Kupezeka kwa VSD kumaikidwa m'mayiko angapo ndipo sikudziwika konse ku Ulaya ndi ku United States. Chifukwa cha izi ndi zizindikiro zoopsa kwambiri za matenda, zomwe zimaphatikizapo zizindikiro zovuta zonse. Kulephera kuntchito kwa dongosolo lodzidzimitsa lochititsa mantha kumayambitsa chisokonezo chogwira ntchito mu ziwalo zosiyanasiyana, chifukwa VNS ndiyomwe imayendetsa bwino ziwalo zonse ndi machitidwe - imachepa ndi kuchepetsa kupweteka kwa mtima, kuyamwa, kupuma, kupuma, kumayambitsa kupanga adrenaline. Cholinga chachiwiri cha VNS ndicho kulimbikitsa ntchito zomwe zimakhala zogwirizana ndi kusintha kwa chilengedwe.
VSD ikhoza kukhala ndi matenda ozungulira, kusinthanitsa kutentha, chimbudzi. Kuonjezera apo, mu matenda a VSD, zizindikiro za akuluakulu ndizopezekapo ndi zina zowonjezera:
- Matenda a endocrine (matenda a shuga, thyrotoxicosis);
- matenda a dongosolo lamanjenje;
- matenda;
- zosokoneza;
- matenda a mmimba ndi duodenum;
- dysplasia kapena matenda osokoneza bongo;
- matenda oopsa kapena hypotension;
- scoliosis, osteochondrosis;
- atherosclerosis.
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Zifukwa za IRR
Zomwe zimachititsa kuti VSD ipangidwe ndizosiyana komanso zambiri, monga momwe zimawonetsera matendawa. Kwa akuluakulu, VSD makamaka imapezeka ali ndi zaka 20-30, ndiye matendawa akhoza kutha kapena kuchititsa mavuto komanso matenda aakulu. Zomwe zimayambitsa VSD ndizofooka ndi zovuta za dongosolo lokhazikika la mantha. Zomwe zimayambitsa IRD kwa akulu ndizosiyana:
- chisokonezo;
- matenda a tizilombo;
- matenda opatsirana;
- kusokonezeka kwa magetsi;
- kusokoneza mphamvu;
- kuwonetsa kwambiri dzuwa;
- zovuta zachilengedwe;
- poizoni wa thupi ndi mowa, mankhwala osokoneza bongo;
- kugwira ntchito mopitirira muyeso, katundu wambiri;
- matenda osokoneza bongo.
Mu gulu loopsya kuti zitha kuchitika za vegetative-vascular dystonia, amayi nthawi zambiri amagwa - amakhala omasuka, omvera, omwe amachititsa kuti maganizo awo asokonezeke mosavuta. Kuwonjezera pamenepo, amayi apakati, amayi atangotsala pang'ono kutha msinkhu kapena atapatsidwa mankhwala otchedwa hormonal therapy amakhala osatetezeka kwambiri chifukwa cha kusintha kwa mahomoni. Palinso gulu lachiwiri lachidziwitso cha VSD - izi ndi zizindikiro kwa akuluakulu omwe akupezeka mndandandawu:
- anthu omwe ali ndi vuto losatha la maganizo;
- kawirikawiri zimakhala zovomerezeka;
- kutsogolera, kumakhala moyo wongokhala;
- wobadwa ndi vuto lobadwa;
- kuvutika ndi matenda aakulu;
- kukhala ndi achibale ndi VSD.
Mitundu ya IRR
Palibe mtundu umodzi wosagwiritsidwa ntchito wa VSD, makamaka madokotala amasiyanitsa mitundu ikuluikulu ya vegetative-vascular dystonia:
- chithandizo;
- hypotonic;
- zosakaniza.
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Kuwonjezera pa zinthu zitatu zofunika, madokotala ena amasiyanitsa mtundu wa VSD:
- mtima - umadziwika ndi zosayenerera ndi zosayenerera mu ntchito ya mtima, extrasystole, thukuta;
- normotensive - kuwonetsekera kupuma kosadziwika, mutu;
- vagotonic - amadziwika ndi kupuma kupuma, kuchepa kwa mtima, kuwonjezeka kwa salivation, mavuto a m'mimba.
VSD mtundu waukulu
Mavitamini otchedwa dystonia malinga ndi mtundu wa hypertonic amadziwika ndi kuwonjezeka kwachulukira - kuposa 130/90. Kuwonjezera apo, wodwala nthawi zambiri amadwala mutu, kupweteka kwa migraine, tachycardia, kuchepa kwa njala ndi kunyoza, kuopsezedwa ndi mantha (kuopsezedwa), kuunika kwa "goosebumps" pamaso pake, kutukuta kwambiri, kulephera kugwirizana. Posiyanitsa VSD pa mtundu uwu wa matenda oopsa kwambiri ndizotheka kuti kuonetsetsa kuti vutoli silikusowa mankhwala osokoneza bongo - muyenera kukhazikika pansi.
VSD hypotonic mtundu
Kuzindikira kwa mtundu wa vegetative-vascular dystonia malingana ndi mtundu wa hypotonic umadziwika ndi kuchepa kwachangu - pansi pa 110/70, kufooka, chizungulire, kutukuta kwakukulu kwa mitengo ya kanjedza, mapazi ndi zitsulo. Panthawi ya matendawa, wodwala nthawi zambiri amatembenuka, mpaka maonekedwe a buluu kumadera ena a khungu. Kuonjezerapo, amachititsa kupuma kwake, zomwe zimawonetseratu kuti n'zosatheka kupuma mokwanira. Kawirikawiri amapezeka mu mtundu uwu wa VSD ndi kuphwanya ntchito ya m'mimba - kupweteka kwa mtima, mseru, kutsekula m'mimba.
VSD ndi mtundu wosiyanasiyana
Maonekedwe a VSD a mitundu yosiyanasiyana amapezeka nthawi zambiri kuposa ena. Ndi nthenda yoteroyo, wodwalayo akhoza kukhala ndi zizindikiro za mitundu yonse ya hypertonic ndi hypotonic ya AVR:
- kutopa ndi kufooka;
- chizungulire, kumutu;
- mantha, kuopa imfa, "kupasuka kwa mtima";
- chisokonezo;
- kuwonjezeka kapena kuchepa mu kutentha kwa thupi;
- ululu mu mtima wosadziwika komanso wosiyana;
- mpweya wochepa, mpweya wochepa;
- kusintha kwa chiwindi cha mtima;
- tachycardia , arrhythmia;
- kusowa tulo;
- kukangamira mu zala za miyendo, kutukuta;
- kudalira nyengo .
Matenda a zamasamba - zizindikiro
Ndi matenda a VSD, zizindikirozo ndi zosiyana kwambiri ndipo zimakhudza kwambiri njira zomwe madokotala ambiri amataya pofotokoza mankhwala omwe akufunikira kuti apitirize kukhala ndi moyo wathanzi. Zizindikiro pa akuluakulu ndizofala kwambiri mu VSD:
- kukakamiza;
- ululu wa etiology yosiyana;
- mantha .
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Kuthamanga ku IRR
Ndi mitundu yosiyanasiyana ya VSD, pali zizindikiro zokhudzana ndi kusintha kwa magazi, ndipo ngati zizindikirozi zimagonjetsa ena, madokotala amatha kupeza AVR mu mtundu wa hypertonic kapena hypotonic. Matenda a zamasamba - zizindikiro kwa anthu akuluakulu okhudzana ndi kusintha kwachangu:
- Powonjezera kuchepa - kufooka, kugona, chizungu, chizungulire, kupweteka mutu, kuzirala kwa mapeto, kuchepa, kusokonezeka kwa magazi, kupuma kochepa /
- Kuwonjezeka kwachisokonezo - phokoso m'makutu, kupweteka mutu, kunyoza, kubwezeretsa khungu la nkhope, kuchuluka kwa mtima, kunthunthumira pamapazi.
Ululu ndi IRR
Zowawa zosiyana siyana zikhoza kuoneka mu mtundu uliwonse wa vegetative-vascular dystonia. Ambiri omwe akudwala VSD ali ndi madera m'dera la mtima - pachimake, kuponderezana, kupweteka, kupereka m'manja. Popeza VSD ndi matenda opatsirana ndi achilendo sizodziwika, wodwalayo akhoza kukhala ndi mimba kapena m'mimba mwake. Nthawi zambiri odwala amenewa amakhala ndi mutu ndipo izi zingakhale:
- Kupweteka kwa mavuto ndi ululu wosasangalatsa, kuphimba mutu ngati chisoti.
- Kupweteka kwa migraine ndi kupweteka kwakukulu kumbali imodzi ya mutu, nthawi zambiri kumapezeka m'kachisimo, pamphumi kapena m'maso, kuphatikizapo kunyoza, kuthamanga, ndi photophobia.
- Kupweteka kwa magulu ndi ululu wopweteka kumbali imodzi ya mutu, umene umayamba nthawi zambiri usiku ndipo umayambitsa kusowa tulo, kumakhala kulira, kupweteka m'maso, kutuluka kwa magazi kumaso.
Kwa oimira gawo lopanda mphamvu la anthu, VSD ndi yofala kuposa amuna. Amayi ochepa amayamba kulimbikitsidwa kwambiri kusanayambe kusamba. Zomwe zimapweteketsa panthawiyi zimaphimba m'mimba komanso m'munsi. Chifukwa cha kuwonjezereka kwa kumva zowawa mu vegetative-vascular dystonia kawirikawiri amasintha mahomoni pa nthawi ya kutha msinkhu, mimba, kusamba kwa mimba.
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VSD - kuwopsya
Zowopsya, mantha kapena nkhawa ndi VSD - zizindikiro zofala. Popeza nthawi zambiri matendawa amachititsa kuti anthu azikhala ndi nkhawa, amakhala ndi nkhawa komanso amadzimva chisoni ndipo amatha kuchita mantha kwambiri. Kuwopsya ndi VSD, zizindikiro za akuluakulu:
- mantha amantha;
- palpitation;
- chizungulire;
- chisokonezo;
- kukhetsa magazi;
- chills;
- kuwonjezeka kapena kuchepa kwachangu;
- mpweya wochepa;
- thukuta;
- mkamwa wouma, kumverera "chokoma" pammero;
- zizindikiro za m'magazi - kunjenjemera kapena kupweteka kwa miyendo, kusokonezeka maganizo, aphonia.
Kuukira kwa IRR
VSD imawonjezereka panthawi ya zochitika zamaganizo, kupsinjika maganizo, pambuyo pa matenda aakulu, kupweteka kwa maganizo ndi thupi. Zizindikiro za vegetative-vascular dystonia panthawi ya chiwonetsero zikuwonetseredwa mwamphamvu, zolakwira zonse mu machitidwe osiyanasiyana a thupi zimadzimva okha panthawi yomweyo. Zizindikiro za kulanda VSD:
- kuwonongeka kwakukulu mu chikhalidwe chonse;
- kufooka;
- ululu pamutu, chifuwa, miyendo;
- "Jump" kapena kupanikizika;
- kutentha kapena kuzizira kwa miyendo;
- kukhudzana;
- mantha;
- mavuto opweteka.
Zida zofunikira zidzakuthana ndi vutoli:
- wodwala ayenera kugona pansi kapena kukhala pansi ndi kupuma;
- Pewani zotsatira za chikoka chimene chinayambitsa chiwonongeko;
- Ndikumva ululu mumtima - kutenga Nitroglycerin, ndi kuwonjezeka kwachisokonezo - mankhwala olembedwa ndi dokotala;
- kuonetsetsa kutuluka kwa mpweya;
- imwani tiyi yothyola.
Matenda a zamasamba - mankhwala
Funso la momwe angachiritse VSD limasokoneza onse amene akuvutika ndi kugwidwa ndi maonekedwe a matendawa. Njira yothetsera VSD yadziko lonse ilibe, payekhapayekha dokotala adasankha mankhwala oyenera odwala. Pofuna kuthetsa kufooka kwa mtima, mantha, mavitamini, mahomoni kapena m'mimba, dokotala akulamula mankhwala omwe akuwongolera kuti apangidwe. Ndi matenda okhudza ubongo, amatha kulembetsa. Kuchokera ku mankhwala a VSD nthawi zambiri amasankha:
- Chomera chomera kapena chokonzekera - Persen, Novopassit, zokometsera mzimu za valerian, motherwort, ginseng, eleutherococcus, magnolia mpesa;
- nootropics - Piracetam, Nootropil, Phenotropil;
- zotsitsimula - Nosepam, Seduxen, Diazepam;
- Kupanikizika - Cipralex, Pirazidol;
- mankhwala osokoneza bongo - droperidol;
- mankhwala osokoneza ubongo - Cinnarizine , Cavinton.
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Mankhwala opanda mankhwala a VSD akuphatikizapo:
- Thupi la thupi - kusambira, yoga, kuvina, kuyenda, njinga.
- Njira zowopsya - chotsitsa chosiyana, kudula.
- Kusisita-kumbuyo, kumalo ozungulira, mutu.
- Zakudya zabwino - kuphatikizapo kudya zakudya zophweka, zothandizira mafuta, zosungira zakudya, chakudya chofulumira.
- Njira yoyenera - kugona kwa maola oposa asanu ndi atatu.
- Physiotherapy - malo osambira, magnetic therapy, electrophoresis, electrosleep.